Ntshav hauv cov zis ntawm tus menyuam

Ntshav nyob rau hauv cov zis ntawm tus me nyuam (los yog hematuria, erythrocyturia) tsis yog ib tug kab mob ywj siab, tab sis yog ib tug tshwm sim ntawm ib tug kab mob ntawm lub genitourinary system. Qee zaum cov tsos mob ntawm cov ntshav hauv cov zis ntawm tus menyuam tuaj yeem yog qhov txawv ntawm cov qauv uas tsis tas yuav muaj kev cuam tshuam kev kho mob thiab kev ntxhov siab, thiab qee zaum nws tuaj yeem ua rau cov tsos mob tshwm sim ntawm kev phom sij rau lub neej.

Feem ntau, tsuas yog 1-2 erythrocytes pom nyob rau hauv kev kuaj zis. Yog tias cov qe ntshav liab ntau dua (3 lossis ntau dua) - qhov no twb yog hematuria. Muaj ob qhov kev hloov pauv ntawm cov kab mob no: microhematuria (thaum cov ntshav hauv cov zis kuaj pom tsuas yog thaum kuaj hauv lub tshuab ntsuas, tus menyuam cov zis nws tus kheej tsis hloov xim) thiab tag nrho hematuria (thaum cov ntshav hauv cov zis pom ntawm qhov muag liab qab, qee zaum txawm pom cov ntshav txhaws).

Cov tsos mob

Nrog microhematuria, cov ntshav hauv cov zis ntawm tus menyuam tsis tuaj yeem pom ntawm qhov muag liab qab, tab sis tuaj yeem kuaj pom thaum kuaj hauv lub tshuab ntsuas. Nrog rau tag nrho hematuria, cov ntshav nyob rau hauv cov zis yog txaus rau tus me nyuam cov zis hloov xim - los ntawm daj ntseg liab mus rau ci liab thiab txawm tsaus, yuav luag dub. Nyob rau tib lub sijhawm, cov niam txiv yuav tsum nco ntsoov tias kev hloov pauv ntawm cov zis tuaj yeem ua rau kev siv qee yam khoom noj xim (beets, cherries, blueberries), tshuaj (analgin, aspirin), thiab tsis muaj dab tsi txaus ntshai hauv qhov no.

Qee zaum cov ntshav hauv cov zis ntawm tus menyuam tuaj yeem nrog qhov mob hauv plab plab, hauv qab nraub qaum thiab thaum tso zis. Kev tso zis tsis yooj yim lossis nws tsis tuaj yeem ua tiav, ua npaws, ua daus no, tsis muaj zog thiab tsis muaj zog tuaj yeem tshwm sim - txhua yam nyob ntawm tus kab mob, qhov tshwm sim ntawm uas yog hematuria.

Ua rau cov ntshav tso zis hauv menyuam yaus

Lub ntsiab ua rau ntshav nyob rau hauv cov zis nyob rau hauv cov me nyuam yog cov kab mob ntawm lub genitourinary system (lub raum, ureter, zais zis, urethra):

• cystitis (mob ntawm phab ntsa ntawm lub zais zis);
• txoj hlab zis (mob rau sab tso zis);
• pyelonephritis (mob raum tubules);
• glomerulonephritis (mob ntawm lub raum glomeruli);
• hydronephrosis ntawm lub raum (ua kom qis ntawm ureteropelvic ntu, ua rau muaj kev ua txhaum ntawm cov zis tawm ntawm cov zis);
• urolithiasis kab mob;
• malignant formations ntawm ob lub raum los yog zais zis (tsis tshua muaj heev nyob rau hauv cov me nyuam);
• raug mob rau lub raum los yog zais zis.

- Feem ntau ua rau cov ntshav nyob rau hauv cov zis ntawm tus me nyuam yog ntau yam inflammatory kab mob ntawm lub urinary system. Cov no yog nephritis, glomerulonephritis, pyelonephritis, uas yog, raum mob, thiab cystitis, o ntawm lub zais zis. Urolithiasis kuj tseem ua tau. Cov ntsev hauv cov zis tuaj yeem tsim cov qe ntshav liab, ntau yam kab mob sib kis (nephritis) thiab txhua yam teeb meem nrog ntshav txhaws - coagulopathy (qhov no, ntxiv rau lub raum, yuav muaj lwm yam tshwm sim los ntshav). Ntshav nyob rau hauv cov zis tuaj yeem yog qhov sib txawv ntawm cov qauv hauv thawj hnub tom qab yug menyuam - lub npe hu ua uric acid infarction. Ib qho me me ntawm erythrocytes nyob rau hauv cov zis ntawm tus me nyuam yog tau tam sim ntawd tom qab mob ua pa kab mob. Hauv qhov no, yog tias tus menyuam tsis txhawj xeeb lawm, thiab muaj ob peb erythrocytes, cov kws kho mob tsuas pom zoo kom rov tso zis hauv ob lub lis piam thiab kuaj xyuas, - piav qhia Pediatrician Elena Pisareva.

Kev kho mob

Txoj cai tseem ceeb tshaj plaws: yog tias koj pom cov ntshav hauv cov zis ntawm tus menyuam, koj tsis tas yuav kho tus kheej lossis cia txhua yam ua tiav. Nws yog ib qho tseem ceeb kom nrhiav kev kho mob tam sim ntawd.

diagnostics

Kev kuaj mob hematuria hauv cov menyuam yaus suav nrog kev sab laj nrog tus kws kho mob menyuam yaus, thaum lub sijhawm nws yuav noj anamnesis, qhia meej cov tsos mob thiab nug txog cov lus dhau los. Tom qab ntawd, kev kuaj zis tau raug sau tseg (ntev thiab tshwj xeeb - raws li Zimnitsky, raws li Nechiporenko), nrog rau cov kev kuaj sim xws li: kuaj ntshav kom tiav, kuaj ntshav txhawm rau txiav txim siab coagulation, kuaj urea thiab creatinine, thiab. Raws li ultrasound ntawm lub plab kab mob, zais zis thiab ureter, CT lossis MRI, yog tias tsim nyog, lossis kev sab laj ntawm lwm tus kws tshaj lij - urologist, kws phais.

Kev kho mob niaj hnub

Ib zaug ntxiv, nws tsis yog hematuria nws tus kheej tau kho, tab sis nws ua rau, uas yog, tus kab mob uas ua rau pom cov ntshav hauv cov zis. Nyob rau hauv cov ntaub ntawv ntawm inflammatory thiab kis kab mob ntawm ob lub raum thiab urinary ib ntsuj av, tus kws kho mob tau sau cov kev kho mob tsim nyog - tshuaj tiv thaiv kab mob, tshuaj tua kab mob, uroseptics, raws li zoo raws li ib tug chav kawm ntawm cov vitamins kom nce kev tiv thaiv. Yog tias cov ntshav hauv cov zis tshwm sim tom qab tus menyuam muaj ARVI, ces tsis muaj kev kho mob, thiab tus menyuam tsuas yog saib xyuas kom nws tus mob tsis zoo dua.

Kev tiv thaiv

Yog li ntawd, kev tiv thaiv ntawm hematuria hauv tus menyuam tsis muaj. Nws yog ib qho tsim nyog los saib xyuas kev noj qab haus huv ntawm tus menyuam, txhawm rau tiv thaiv hypothermia, kab mob, kev raug mob uas tuaj yeem ua rau cov kab mob ntawm cov kab mob genitourinary, thiab thawj cov tsos mob, sab laj nrog kws kho mob thiab kuaj tag nrho.

Nrov lus nug thiab lus teb

Pediatrician Elena Pisareva teb cov lus nug nrov txog enuresis hauv cov menyuam yaus.